5900-241 TPEM Engine Manufacturer Report

Emissions Certification and Compliance Requirements for Nonroad Compression-Ignition Engines and On-Highway Heavy Duty Engines (Revision)

TPEM Engine Manufacturer Report 5900-241.xlsx

Transition Program for Equipment Manufacturers (TPEM)

OMB: 2060-0287

Document [xlsx]
Download: xlsx | pdf









United States
US Environmental Protection Agency
Office of Air and Radiation, Office of Transportation and Air Quality


Transition Program for Equipment Manufacturers
Engine Manufacturer Report
Last Revision: August 2018 Version Number: 1.1.2









Please submit forms to: [email protected] DO NOT MAIL HARD COPIES. DO NOT SUBMIT THROUGH VERIFY.

Please use this form to submit your TPEM engine manufacturer report within 45 days after the end of the model year (§1039.250(a)(2)).

Engine Manufacturer Information



Submission Date:












Manufacturer Name:






Contact Name:






Email Address:






Phone #:






Manufacturer Address







Address 1:






Address 2:






City:






State:






ZIP:






Country:

Notification contains Confidential Business Information (CBI)?



40 CFR Part:





Model Year:














Comments:



























Engine Manufacturer TPEM Report Data










Engine Family (If never certified, please use "NoEngineFami") Engine Model Power Category Buyer or
Shipping Destination
Buyer's Address or Contact Information (Optional) Exempt Engines Production Volume
























































































































































































































































































































































































































































































































































































































































































































































































































































Paperwork Reduction Act Notice


OMB No. 2060-0287
The public reporting and recordkeeping burden for this collection of information is estimated to average 11 hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB Number 2060-0287 in any correspondence. Do not send the completed Form 5900-241 to this address.


Approval Expires on



3/31/2023



EPA Form 5900-241













































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